| NPI | 1972593101 |
|---|---|
| Former Name | BENJAMIN JAY POMERANTZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301116598) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 12541) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-09-02 |