NPI | 1821067224 |
---|---|
Former Name | ALVIN ARIEL ALMODOVAR - ADORNO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PR 14053) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 89994) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2018-11-27 |