| NPI | 1780666099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: HI 6587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 109766) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2023-03-07 |