| NPI | 1780708073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: AZ 31725) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: AZ 31725) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: AZ 31725) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-06-30 |