NPI | 1922730803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: OR 917283) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: WA 60899550) |
Enumeration Date | 2022-06-28 |
Last Update Date | 2022-06-28 |