| NPI | 1841517273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: ME MD27953) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME132965) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NH 33399) | |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2024-08-13 |