NPI | 1871914457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60844923) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: WA MD60844923) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A132735) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-12-26 |
Last Update Date | 2024-08-30 |