| NPI | 1427459585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246YR1600X Spec/Tech, Health Info, Registered Record Administrator |
| Additional Taxonomies | 172A00000X Driver |
| 174400000X Specialist | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 246W00000X Technician, Cardiology | |
| 146N00000X Emergency Medical Technician, Basic | |
| 247200000X Technician, Other | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |