NPI | 1053639484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 56282) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 277475) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-05-10 |
Last Update Date | 2022-01-11 |