NPI | 1376594309 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD011954E) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD011954E) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2023-03-07 |