| NPI | 1982793741 |
|---|---|
| Other Name | LEO IVAN (JOHN) WOLANSKY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 029944) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OH 35.099275) |
| 2085N0700X (Licence: OH 35.099275) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.099275) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-11-07 |