NPI | 1568997559 |
---|---|
Other Name | GREGORY DEENRAUSAN ABDULLAH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: AZ 31426) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AZ 17913) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2017-04-27 |