NPI | 1538477906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 279645) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME134112) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-09-20 |
Last Update Date | 2022-03-30 |