NPI | 1609404243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: WA ML61076864) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA ML61076864) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2020-07-06 |