| NPI | 1811095862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA G44540) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA G44540) |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: CA G44540) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA G44540) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA G44540) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-04-15 |