NPI | 1578548889 |
---|---|
Former Name | MELISSA ANNE BLOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0065560) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-3583) |
Enumeration Date | 2005-12-08 |
Last Update Date | 2013-08-14 |