NPI | 1750968053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL TRN32934) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN32934) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2022-07-11 |