| NPI | 1528009636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX E8370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX E8370) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-12-07 |