NPI | 1871750729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 27785) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2017022191) |
207R00000X Internal Medicine (Licence: KS 6929) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17638) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-34841) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: CO 53434) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 47210) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2020-06-02 |