NPI | 1194831941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35-04-5959) |
Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: OH 35-04-5959) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2008-01-17 |