NPI | 1801214994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.131709) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 70939) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2020-08-13 |