NPI | 1528569902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: ME DO2965) |
Additional Taxonomies | 208D00000X General Practice (Licence: ME DO2965) |
2085R0202X Radiology, Diagnostic Radiology (Licence: ME DO2965) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-02-22 |
Last Update Date | 2024-06-04 |