| NPI | 1790721926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OR MD08746) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OR MD08746) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-04-30 |