| NPI | 1306937198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 29348) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35-08-8648) |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-07-21 |