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 |