NPI | 1326066184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 247100000X Radiologic Technologist (Licence: 290255) |
Additional Taxonomies | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: 290255) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-07-08 |