| NPI | 1750446217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 5101005793) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MI 5101005793) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-12-31 |