| NPI | 1659384774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: PA MD031852L) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: PA MD031852L) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |