| NPI | 1881995678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: CA G15173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G15173) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |