NPI | 1548291354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: MA 09125) |
Additional Taxonomies | 2471V0106X Radiologic Technologist, Vascular-Interventional Technology (Licence: MA 09125) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2008-10-03 |