| NPI | 1437163672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: Nat'l Reg # 00000545) |
| Additional Taxonomies | 246W00000X Technician, Cardiology (Licence: Nat'l Reg # 00000545) |
| 246X00000X Spec/Tech, Cardiovascular (Licence: Nat'l Reg # 00000545) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-10-12 |