| NPI | 1871553834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A77987) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MI 4301081007) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-05-05 |