| NPI | 1376063578 |
|---|---|
| Former Name | MARI E TANAKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 320968) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 272810) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 320968) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-05-29 |