| NPI | 1578945432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.142474) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R10253) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.142474) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2022-05-20 |