A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Vascular-Interventional Technology Radiologic Technologist | 2471V0106X |
| Surgical | 363AS0400X |
* Indicates primary specialty
| NPI Number | 1659484640 |
| Credentials | PA-C (Physician Assistant-Certified) |
| Entity | Individual |
| Enumeration date | 08/16/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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