| NPI | 1487023149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: CA RHF00100816) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: CA RHF00100816) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |