| NPI | 1689532392 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: TN 451462) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TN 451462) |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |