NPI | 1285877233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0055098) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101255622) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-04-07 |
Last Update Date | 2017-02-28 |