NPI | 1467608794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247100000X Radiologic Technologist (Licence: CA RHF 74300) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MN ARRT313398) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |