| NPI | 1548251135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 30266) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: AZ 30266) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: DE C10002298) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME84107) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 30266) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2017-09-18 |