NPI | 1629508197 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 010146) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: RI DO01156) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-15 |
Last Update Date | 2023-07-13 |