| NPI | 1275072100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471N0900X Radiologic Technologist Nuclear Medicine Technology (Licence: CA RHN00004203) |
| Additional Taxonomies | 2471N0900X Radiologic Technologist Nuclear Medicine Technology (Licence: FL CRT89082) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2021-04-06 |