| NPI | 1437279882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2470A2800X Technician, Health Information, Assistant Record Technician |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2010-03-05 |