NPI | 1114172004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 57215) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036.127452) |
Enumeration Date | 2008-11-19 |
Last Update Date | 2024-03-08 |