| NPI | 1629046222 |
|---|---|
| Former Name | ANDREW GUTMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD 00048502) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME76988) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MT 11435) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-07-24 |