NPI | 1275768491 |
---|---|
Other Name | ANDREW URIAH HINES-PERALTA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2014-00796) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: SC 37317) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2017-12-20 |