| NPI | 1962282616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: MD 263786) |
| Additional Taxonomies | 171R00000X Interpreter |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |