NPI | 1407047038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C2-0008642) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H65982) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34-009004) | |
Enumeration Date | 2007-08-08 |
Last Update Date | 2013-02-14 |