| NPI | 1548255342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 1548255342) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 41775) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2024-03-06 |