NPI | 1730535352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: CA A155043) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A155043) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-12 |
Last Update Date | 2024-09-17 |