NPI | 1023284809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A103448) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-099567) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101257381) | |
Enumeration Date | 2008-05-01 |
Last Update Date | 2016-05-06 |