| NPI | 1366740227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: AR 200873) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AR 16574365) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |