| NPI | 1326822768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: CA RHN00003450) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: CA RHN00003450) |
| 171W00000X Contractor (Licence: CA RHN00003450) | |
| 207U00000X Nuclear Medicine (Licence: CA RHN00003450) | |
| 2085B0100X Radiology, Body Imaging (Licence: CA RHN00003450) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA RHN00003450) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2025-08-20 |