| NPI | 1831245810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A953988) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A953988) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-04-24 |