NPI | 1497926547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34008197) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008197) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |