NPI | 1851566517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD446929) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.091042) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2024-08-26 |