| NPI | 1447296371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: OH 35088478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD059779L) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-03-14 |