| NPI | 1083095293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Additional Taxonomies | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| 247100000X Radiologic Technologist | |
| 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology | |
| 2471C3402X Radiologic Technologist, Radiography | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |