NPI | 1164634408 |
---|---|
Former Name | JOSEPH JAMES JOSEPH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 243011) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |