| NPI | 1336356120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: VA 0120004623) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: TN 5381) |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: OH R8858280) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: NY 363923) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: NJ 639310) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: MD R0007930) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: KY 10-121-14015) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: CA RHF 77185) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: VA 0120004623) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: TN 5381) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: OH R8858280) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: NY 363923) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: NJ 639310) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: MD R0007930) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: DE 5302) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |