NPI | 1538309737 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 26482) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 46255) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.12694) | |
Enumeration Date | 2009-02-27 |
Last Update Date | 2024-04-18 |