NPI | 1114084878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.090051) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A99787) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2023-10-14 |