NPI | 1124765839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT229675) |
Enumeration Date | 2022-05-14 |
Last Update Date | 2023-06-17 |