| NPI | 1992124317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0066168) |
| Additional Taxonomies | 2085N0700X (Licence: MA 278089) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD22773) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 33605) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-44729) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11018211A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-12-13 |