NPI | 1912998881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35 059530) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: OH 35 059530) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2011-01-05 |