NPI | 1013478742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA Md-51630) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-08-30 |