NPI | 1811230311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0060007) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM A-2025-17) |
390200000X Student in an Organized Health Care Education/Training Program | |
2085R0202X Radiology, Diagnostic Radiology (Licence: OK 5377) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2020-11-24 |