NPI | 1124385877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: FL RA28) |
Additional Taxonomies | 243U00000X Radiology Practitioner Assistant (Licence: FL CRT54343) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2012-04-19 |