| NPI | 1083786024 |
|---|---|
| Professional Name | JACK HOWARD SIMON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: CO 23522) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 23522) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |