NPI | 1154749174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: OH 35.127332) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.127332) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2022-02-23 |