| NPI | 1902945181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WI 62198) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: TX W2488) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2026-01-02 |