NPI | 1821101783 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: 340833) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: 340833) |
2471C3402X Radiologic Technologist, Radiography (Licence: 340833) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2025-09-11 |