| NPI | 1346482809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A114386) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA A114386) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A114386) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2023-12-05 |