| NPI | 1942538582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: CO 202654) |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: CO 202654) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |