NPI | 1750450524 |
---|---|
Other Name | YVONNE STEPHANIE SACKS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 38523) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 38523) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2025-09-11 |