| NPI | 1437443173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: KS 96074) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: KS 313069) |
| Enumeration Date | 2011-05-29 |
| Last Update Date | 2011-05-29 |