| NPI | 1750114096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography |
| 247100000X Radiologic Technologist | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |