NPI | 1689070690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA C42362) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA C42362) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2014-11-18 |