NPI | 1457586851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0072146) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014890A) |
2085P0229X Radiology, Pediatric Radiology (Licence: IN 01084148A) | |
2085P0229X Radiology, Pediatric Radiology (Licence: NC 2015-00672) | |
Enumeration Date | 2009-05-29 |
Last Update Date | 2024-04-03 |