| NPI | 1679795272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A92396) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OH 35089135) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-12-14 |