NPI | 1376961342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2019-01950) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.128131) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2020-10-01 |