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 |