NPI | 1801152517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036.145371) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061502) |
2085R0202X Radiology Diagnostic Radiology (Licence: IA R-9873) | |
2085R0202X Radiology Diagnostic Radiology (Licence: IA MD-44376) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-06 |
Last Update Date | 2022-02-02 |