NPI | 1871883884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A126317) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A126317) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2016-09-20 |