NPI | 1376960419 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.129277) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OH 35.129277) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2020-09-10 |