| NPI | 1588713291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: AZ 67460) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PA MT182052) |
| 207U00000X Nuclear Medicine (Licence: OH 090059) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-05-17 |