| NPI | 1750538161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: CA RHF 67120) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: CA 217686) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2024-09-18 |