| NPI | 1831205889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: OH 350-28896) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35028896) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-12-27 |