| NPI | 1508210683 | 
|---|---|
| Other Name | MATT DAVID LECOMTE | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 56838) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A171824) | 
| Enumeration Date | 2016-04-14 | 
| Last Update Date | 2022-07-20 |