| NPI | 1669421178 |
|---|---|
| Former Name | DORIS LEE SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 042076) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 42076) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-04-13 |