| NPI | 1396765400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA 20A8414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A8414) |
| 207R00000X Internal Medicine (Licence: TX M0565) | |
| 207U00000X Nuclear Medicine (Licence: TX M0565) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-11-29 |