| NPI | 1467140111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL CRT94385) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL CRT94385) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL CRT94385) | |
| 2471C1106X Radiologic Technologist, Cardiac-Interventional Technology (Licence: FL CRT94385) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL CRT94385) | |
| 247100000X Radiologic Technologist (Licence: FL CRT94385) | |
| 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology (Licence: FL CRT94385) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: FL CRT94385) | |
| 2471C3402X Radiologic Technologist, Radiography (Licence: FL CRT94385) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: FL CRT94385) | |
| 2471V0106X Radiologic Technologist, Vascular-Interventional Technology (Licence: FL CRT94385) | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |