NPI | 1437253531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35080063) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 38815) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2023-09-18 |