| NPI | 1770762783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: 233821) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: CA RHF 62902) |
| 247100000X Radiologic Technologist (Licence: 233821) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: 233821) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |