| NPI | 1649556408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |