| NPI | 1992791180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A32483) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A32483) |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: CA A32483) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A32483) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA A32483) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-07-02 |