| NPI | 1437237898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WA MD00024085) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WA MD00024085) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-01-13 |