NPI | 1144429721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NY 280816) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: NY 470840) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2007-07-13 |