| NPI | 1558565523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.097898) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MO 2011012586) |
| 207U00000X Nuclear Medicine (Licence: OH 35097898) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2023-04-10 |