| NPI | 1942734389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: OH 34.016903) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MD H0099254) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-02-08 |