| NPI | 1326303736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A141563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-020787) |
| 2085N0700X Radiology, Neuroradiology (Licence: CA A141563) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: CA A141563) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2024-04-09 |