| NPI | 1366862922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35136267) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 52706) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2025-10-22 |