| NPI | 1760640478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NY 290542) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: DE C1-0026366) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-08-24 |