NPI | 1972931921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2471C1106X Radiologic Technologist, Cardiac-Interventional Technology (Licence: IL 500501702) |
Additional Taxonomies | 2471C1106X Radiologic Technologist, Cardiac-Interventional Technology (Licence: CA RHF00097620) |
2471C1106X Radiologic Technologist, Cardiac-Interventional Technology (Licence: SC 00-6456) | |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |