| NPI | 1457344509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0903X Nuclear Medicine In Vivo & In Vitro Nuclear Medicine (Licence: PR 11877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 11877) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-05-17 |