| NPI | 1164595286 |
|---|---|
| Professional Name | GORDON BENJAMIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WA MD00034148) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00034148) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD21111) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OR MD21111) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-05-13 |