NPI | 1588617674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MO R7C80) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R7C80) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2022-08-16 |