| NPI | 1144873449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist Computed Tomography (Licence: OK 399993) |
| Additional Taxonomies | 2471M1202X Radiologic Technologist Magnetic Resonance Imaging |
| 2471C3402X Radiologic Technologist Radiography | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |