NPI | 1700314101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036169985) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 71193) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.134414) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125070701) | |
Enumeration Date | 2017-05-30 |
Last Update Date | 2025-01-09 |