NPI | 1346499936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247100000X Radiologic Technologist (Licence: LA 10800) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: LA LA 2731) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2016-03-07 |