| NPI | 1669659959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: DE C1-0013361) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD 22808) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2019-10-21 |