| NPI | 1447096847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C1106X Radiologic Technologist, Cardiac-Interventional Technology |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography |
| 2471C3402X Radiologic Technologist, Radiography (Licence: NY 595962) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-07-08 |