NPI | 1134680002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X (Licence: CA A176211) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A176211) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-25 |
Last Update Date | 2025-09-11 |