| NPI | 1558789115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME139579) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL not available yet) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2019-07-17 |