| NPI | 1427433762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A123708) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: FL ME159000) |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: CA A123708) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2022-09-27 |