| NPI | 1285299016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 1285299016) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A195667) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.176516) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2026-07-01 |