| NPI | 1013274729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX V0088) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NM MD-2018-0167) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-07-17 |