NPI | 1033596317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME147139) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME147139) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-06 |
Last Update Date | 2022-03-14 |