| NPI | 1811175854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| Additional Taxonomies | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |