| NPI | 1326481425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35.139914) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NC 199980) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-01-11 |