| NPI | 1578598801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX M6873) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 229254) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-06-12 |