| NPI | 1952689796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A136722) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NE 6436) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2013-0534) | |
| 207U00000X Nuclear Medicine (Licence: CA A136722) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2015-07-24 |