| NPI | 1962446732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: LA MD.015438) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 015438) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-01-25 |