| NPI | 1528241072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: OH 34-001716) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OH 34-001716) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |