NPI | 1083880736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35094713) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 57.010118) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2017-04-21 |