| NPI | 1780839183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX N0204) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A90952) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |