NPI | 1871887141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: 11ID1432) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: 343232) |
2471C3401X Radiologic Technologist, Computed Tomography (Licence: 343232) | |
Enumeration Date | 2011-06-04 |
Last Update Date | 2011-06-04 |