| NPI | 1427194828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: WI 45152) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NC 2007-00034) |
| 207U00000X Nuclear Medicine (Licence: SD 7359) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-07-26 |