| NPI | 1750404752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A92375) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A92375) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-04-09 |