NPI | 1487181517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01081694A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019211A) |
Enumeration Date | 2017-05-19 |
Last Update Date | 2022-06-20 |