NPI | 1760646731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247100000X Radiologic Technologist (Licence: IN xt016407) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: KY 10-121-12290) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2008-07-17 |