| 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 |