NPI | 1710229315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA10009300) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NM MD2019-0581) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2024-01-18 |