| NPI | 1841610326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA TMD004733) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036172199) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 101284845) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 72897) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2025-02-12 |