| NPI | 1396206298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD.MD.70089181) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085N0700X (Licence: MA 1017858) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1017858) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-04-14 |