Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 256180 | NY |
NPI | 1023260502 |
---|---|
Provider Name | Hongju Son |
First Address | Pittsford, NY 14534-2763 |
Second Address | Rochester, NY 14642-8648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 09/03/2011 |