NPI | 1063739027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.130133) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 46307) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2017-06-30 |