NPI | 1992752265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35054831) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: OH 35054831) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2016-08-08 |