NPI | 1073213559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: CA 561437) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA 562437) |
207Q00000X Family Medicine (Licence: CA 562437) | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA 562437) | |
2085B0100X Radiology, Body Imaging (Licence: CA 562437) | |
2085H0002X Radiology, Hospice and Palliative Medicine (Licence: CA 562437) | |
Enumeration Date | 2023-03-03 |
Last Update Date | 2023-04-21 |