NPI | 1982705331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MA 205736) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A79123) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2016-09-28 |