| NPI | 1548764095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246W00000X Technician, Cardiology |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based | |
| 246YR1600X Spec/Tech, Health Info, Registered Record Administrator | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |