| NPI | 1396776647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: GA 110586) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 237716) |
| 207U00000X Nuclear Medicine (Licence: AZ 34912) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2026-02-12 |