NPI | 1922118934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35069676) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 069676) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2008-05-23 |