NPI | 1457072480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: CA 2399) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34150) |
Enumeration Date | 2022-09-08 |
Last Update Date | 2022-09-08 |