| NPI | 1407093776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: FL CRT72895) |
| Additional Taxonomies | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: PR 0892) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |