| NPI | 1548297351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35.071631) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: DE C10008827) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: DE C10008827) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NV 8946) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2018-11-06 |