NPI | 1346405032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NM MD2016-0099) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC TRAINNING) |
207R00000X Internal Medicine (Licence: DC TEMPORARY TRANINING) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-07-23 |
Last Update Date | 2016-07-12 |