| NPI | 1922075332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PR 2189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 2189) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: PR 2189) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-11-08 |