| NPI | 1407113806 |
|---|---|
| Former Name | ROBERTO ENRIQUE RIVERA-DE-CHOUDENS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301113148) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-01-07 |