NPI | 1891282885 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0070004) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OK 6686) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-08-15 |