| NPI | 1437556156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: CA 71989) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: CA 71989) |
| 246X00000X Spec/Tech, Cardiovascular (Licence: CA 71989) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-01-15 |