| NPI | 1992744510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA G39311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G39311) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-08-06 |