| NPI | 1184870115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: GA 283788) |
| Additional Taxonomies | 243U00000X Radiology Practitioner Assistant |
| 247100000X Radiologic Technologist (Licence: IL 500498087) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2023-09-06 |