NPI | 1851657209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD463350) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A130053) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-10 |
Last Update Date | 2020-10-08 |