NPI | 1215373634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 64037) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 63171) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2024-04-15 |