NPI | 1629424627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: ND 15886) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 15886) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-09 |
Last Update Date | 2024-06-28 |