NPI | 1114422516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 74900) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125073015) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-07-20 |