| NPI | 1740247782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35 054404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35 054404) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35 054404) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35054404) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-02-20 |