NPI | 1487032116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OK 31625) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 31625) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-14 |
Last Update Date | 2024-11-14 |