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 Radiology, Neuroradiology (Licence: OH 35.099275) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.099275) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2022-11-07 |