| 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 |