NPI | 1255890323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS20636) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 103356) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-18 |
Last Update Date | 2025-10-03 |