| NPI | 1780079699 |
|---|---|
| Other Name | BOBBY MORGAN HICKS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A146810) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A146810) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-10-07 |