NPI | 1740294099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0049770) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 224020) |
Enumeration Date | 2006-07-29 |
Last Update Date | 2023-08-14 |