NPI | 1053621219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography |
Additional Taxonomies | 247100000X Radiologic Technologist |
2471V0105X Radiologic Technologist, Vascular Sonography | |
Enumeration Date | 2010-10-20 |
Last Update Date | 2010-10-20 |