| NPI | 1558704593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GA 101488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35127893) |
| 208M00000X Hospitalist (Licence: OH 35.127893) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2025-02-03 |