| NPI | 1922036870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A40341) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA 495119) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |