| NPI | 1801191150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |