| NPI | 1053579516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247000000X Technician, Health Information |
| Additional Taxonomies | 2470A2800X Technician, Health Information, Assistant Record Technician |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-06-02 |