| NPI | 1396918371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.146684) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IA MD-48982) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-48982) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 247784) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2023-04-17 |