| NPI | 1841472537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: OR MD185627) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A100162) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2020-06-24 |