NPI | 1255597654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 243U00000X Radiology Practitioner Assistant |
Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography |
Enumeration Date | 2008-08-05 |
Last Update Date | 2023-12-08 |