| NPI | 1437100948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0087646) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OH 35090258) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: MD D0087646) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35090258) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: OH 35090258) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-01-07 |