NPI | 1194808717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: NJ MA048966) |
Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: NJ MA048966) |
2471M2300X Radiologic Technologist, Mammography (Licence: NJ MA048966) | |
2471S1302X Radiologic Technologist, Sonography (Licence: NJ MA048966) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-09-26 |