| NPI | 1760412753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: PA MD022501E) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MA04368500) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-11-05 |