| NPI | 1801054119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NY 250091) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 250091) |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: NY 250091) | |
| 208000000X Pediatrics (Licence: NY 250091) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2020-03-23 |