NPI | 1588152490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: HI MD-21112) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01083338A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-08-05 |