| NPI | 1033166335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101232700) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 35074983) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35074983) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35074983) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-07-24 |