| NPI | 1447906896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: OH 68.000025) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: OH 8866671) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |