| NPI | 1245495845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.096838) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OH 35.096838) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2020-03-24 |