NPI | 1982646758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: WA MD00010959) |
Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WA MD00010959) |
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WA MD00010959) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2007-07-08 |