| NPI | 1780635508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A66845) |
| Additional Taxonomies | 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: CA A66845) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-01-12 |