| NPI | 1639164809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX G3360) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: TX G3360) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2024-07-19 |