NPI | 1619262474 |
---|---|
Former Name | MEGAN M DRAGONUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V1436) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TX V1436) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036139531) | |
Enumeration Date | 2011-06-09 |
Last Update Date | 2024-07-15 |