| NPI | 1356660930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: 421328) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: 421328) |
| 2471C3401X Radiologic Technologist, Computed Tomography | |
| Enumeration Date | 2010-05-22 |
| Last Update Date | 2010-05-22 |