NPI | 1528220274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 070381) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: GA 070381) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2014-01-02 |