| NPI | 1386528487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: AR 168994) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: AR 483202) |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |