| NPI | 1326601600 |
|---|---|
| Other Name | JAKE BOWERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101289032) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 13285) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 13285) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2026-05-21 |