| NPI | 1184247173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: 271517) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: 271517) |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |