| NPI | 1518175223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.140626) |
| Additional Taxonomies | 2085N0700X (Licence: PA MD442937) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-17209) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01083527A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD442937) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-06-05 |