| NPI | 1417043191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA G50781) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA G50781) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA G50781) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-08-12 |