NPI | 1962089532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: UT 5387619-5401) |
Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: UT 5387619-5401) |
247100000X Radiologic Technologist (Licence: UT 5387619-5401) | |
Enumeration Date | 2021-03-28 |
Last Update Date | 2021-03-28 |