NPI | 1518072701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD054315L) |
Additional Taxonomies | 2085R0001X (Licence: OH 35.124976) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2025-06-05 |