NPI | 1962490813 |
---|---|
Professional Name | MATTHEW J BERST |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-115217) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63816-20) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IA 35386) | |
Enumeration Date | 2005-10-13 |
Last Update Date | 2017-10-06 |