NPI | 1952404386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: VT 00000000000000000000) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: VT 0000000000000000000) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2007-07-09 |