| NPI | 1932793197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant |
| Additional Taxonomies | 243U00000X Radiology Practitioner Assistant (Licence: CT 568477) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-03-31 |