NPI | 1437152378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0067049) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME94559) |
2085P0229X Radiology, Pediatric Radiology (Licence: CA C175197) | |
2085P0229X Radiology, Pediatric Radiology (Licence: KY 56015) | |
Enumeration Date | 2005-05-24 |
Last Update Date | 2023-05-15 |