NPI | 1679264584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351050643) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4351050643) |
Enumeration Date | 2023-05-19 |
Last Update Date | 2024-06-03 |