| NPI | 1760352462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |