| NPI | 1740584440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NY 264982) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY P78008) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2023-09-18 |