| NPI | 1750325973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A80245) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: CA A80425) |
| 2085R0001X Radiology Radiation Oncology (Licence: CA A80425) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-01-03 |