NPI | 1295730083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-078054) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: WV 18523) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2024-11-22 |