NPI | 1407386949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 42038) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 92014) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-18 |
Last Update Date | 2023-08-16 |