NPI | 1215478409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME157256) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73561-20) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A181403) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-20 |
Last Update Date | 2024-09-13 |