NPI | 1891016150 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P8920) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 301210) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101257942) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-21 |
Last Update Date | 2022-09-26 |