| NPI | 1649214263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PR 13526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 13526) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-12-17 |