NPI | 1508039686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MB2014-0117) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A125160) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-04-09 |
Last Update Date | 2023-07-11 |