| NPI | 1992255285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: HI 169284) |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: CT 00092207) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |