NPI | 1720378219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TN 57801) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 266171) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-18 |
Last Update Date | 2022-03-24 |