NPI | 1710118302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.128186) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 80000009) |
Enumeration Date | 2009-07-31 |
Last Update Date | 2018-01-26 |