| 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 |