NPI | 1639708043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-54395) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-12055) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2025-03-12 |