| NPI | 1518944677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: NJ 25MA08147100) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 238196) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-10-30 |