| NPI | 1750331468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NY 302292) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD34026) |
| 207U00000X Nuclear Medicine (Licence: CA A96556) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-03-25 |