NPI | 1003278110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 44080) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: SC MMD.86247) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2022-09-06 |