| NPI | 1972612125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MO R2D83) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 34.002784) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |