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 |