| NPI | 1811133556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MD D32217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D32217) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |