| NPI | 1962472365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX K7701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K7701) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2022-08-29 |