| NPI | 1215381116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME175539) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V0082) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2025-09-06 |