NPI | 1083239669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 011553) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34.016553) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2025-06-25 |