| NPI | 1366629966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 52316) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 27400) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-36650) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R1716) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17587) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 54090) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2022-12-09 |