NPI | 1679673891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: LA 007934) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MS 07455) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2011-04-21 |