NPI | 1043639081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 286909) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: RI MD17446) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-07 |
Last Update Date | 2021-12-02 |