| NPI | 1457529927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CO DR.0056120) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD18497) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO 56120) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 28911) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 73301) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: UT 7465134-1205) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-38620) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: UT 7465134-1205) | |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2024-03-29 |