NPI | 1225052467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 34.017043) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: VA 0102202652) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34.017043) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102202652) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2024-11-12 |