| NPI | 1417948811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: FL FZ1996327) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NJ 25MB11621200) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: DE C2-0024191) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2025-10-08 |