NPI | 1952764235 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA 172967) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 172967) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-03 |
Last Update Date | 2021-07-08 |