| NPI | 1437580727 |
|---|---|
| Other Name | JACK LOPES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: FL CRT 56053) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |