| NPI | 1518159466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MO 2013009620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007019032) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2025-05-21 |