NPI | 1033679758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 69236) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 69236) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2024-05-09 |