NPI | 1326275306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA A135420) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A135420) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2017-12-28 |