NPI | 1134498546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: MA 08360) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MA 08360) |
Enumeration Date | 2011-12-14 |
Last Update Date | 2011-12-14 |