NPI | 1467260869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: A-3986249) |
Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: 241732) |
2471C3402X Radiologic Technologist, Radiography (Licence: 241732) | |
Enumeration Date | 2024-12-19 |
Last Update Date | 2024-12-19 |