| NPI | 1467559328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TN MD41940) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: AR R-3760) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-06-19 |