| NPI | 1437374808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471N0900X Radiologic Technologist Nuclear Medicine Technology (Licence: OH 016234) |
| Additional Taxonomies | 2471N0900X Radiologic Technologist Nuclear Medicine Technology (Licence: OH N2546923) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |