NPI | 1306189188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD.60844932) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA MD.60844932) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-31 |
Last Update Date | 2019-09-19 |