NPI | 1548751878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS21146) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL OS21146) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-22 |
Last Update Date | 2024-06-24 |