| NPI | 1285890491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-120083) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125052266) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01069838A) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2013-01-17 |