| NPI | 1982717286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PR 16235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16235) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-10-04 |