| NPI | 1467400077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TN 44578) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OH 35082916w) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-01-18 |