| NPI | 1750524963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography |
| 2471C3402X Radiologic Technologist, Radiography | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |