| NPI | 1326392549 |
|---|---|
| Other Name | DBA PRESTIGE DIAGNOSTICS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: CA RHF00094163) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: CA 435970) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2014-03-21 |