NPI | 1699714634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35084360) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OH 35084360) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2011-01-05 |