| NPI | 1497840896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PA MD445248) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA MD00030067) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-06-05 |