NPI | 1184885543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 263250) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 13854) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD444314) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MN 104490) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MN 52339) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-18 |
Last Update Date | 2022-03-31 |