| NPI | 1417043860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NC 31140) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 31140) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |