| NPI | 1417935891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA C30379) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA C30379) |
| 207UN0903X Nuclear Medicine In Vivo & In Vitro Nuclear Medicine (Licence: CA C30379) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2011-10-10 |