NPI | 1336476514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 23364) |
Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: WA RT 00007061) |
2471C3402X Radiologic Technologist, Radiography (Licence: CA RHF 96247) | |
2471C3402X Radiologic Technologist, Radiography (Licence: HI R-3058) | |
Enumeration Date | 2009-11-10 |
Last Update Date | 2009-11-10 |