NPI | 1477908671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 36504) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: AL 36504) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2022-08-02 |