| NPI | 1710752324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M1202X Radiologic Technologist Magnetic Resonance Imaging (Licence: NC 285866) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: AZ 285866) |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |