| NPI | 1780669986 |
|---|---|
| Former Name | JOHN ANDREW BORRIELLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200200321) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101271148) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301087064) | |
| 2085R0205X Radiology, Radiological Physics (Licence: MI 4301087064) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2023-04-27 |