| NPI | 1467243808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 547877) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: TX 547877) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |