| NPI | 1528174299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-05-0820) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OH 35-05-0820) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-08-05 |