NPI | 1316299498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: MA 93720) |
Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: MA 93720) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |