NPI | 1760587646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MI 4301067813) |
Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: MI 4301067813) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301067813) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2019-06-21 |