NPI | 1538325535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NY 398678) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: CT 005359) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2008-07-30 |