NPI | 1811224801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: SC 82218) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 82218) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-11-11 |
Last Update Date | 2024-02-02 |