| NPI | 1043848526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: MD R08214) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: MD R08214) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |