NPI | 1740855691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL88061) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2022-07-06 |