NPI | 1780048314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0205X Radiology, Radiological Physics (Licence: NC 060-0019-6) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-10 |
Last Update Date | 2024-05-24 |