| NPI | 1811251614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AL DO.3432) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101020124) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: AR E-12195) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-10-22 |