NPI | 1508093766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 284295) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A128343) |
390200000X Student in an Organized Health Care Education/Training Program | |
2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA A128343) | |
2085N0700X Radiology, Neuroradiology (Licence: CA A128343) | |
Enumeration Date | 2009-06-15 |
Last Update Date | 2023-01-13 |