# MR. JAKOB R SALOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407093776
- **Gender:** Man
- **Credential:** CNMT, RT (N)

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | 0892 | PR | — |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | CRT72895 | FL | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 01/08/2009