| NPI | 1942245758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A56351) |
| Additional Taxonomies | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: CA A56351) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-02-05 |