| NPI | 1982694261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: KY 48941) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: KY TP843) |
| 207U00000X Nuclear Medicine (Licence: IL 036108666) | |
| 207U00000X Nuclear Medicine (Licence: DC MD034410) | |
| 207U00000X Nuclear Medicine (Licence: KY 48941) | |
| 207U00000X Nuclear Medicine (Licence: OH 35C.000964) | |
| 207U00000X Nuclear Medicine (Licence: VA 0101264738) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2024-01-24 |