NPI | 1992064794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101264426) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2022-04-29 |