| NPI | 1669977476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2023-02048) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 328400) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL23-0127) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-05-16 |