NPI | 1932306735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: MA 06481) |
Additional Taxonomies | 243U00000X Radiology Practitioner Assistant (Licence: MA 06481) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2008-09-29 |