Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 293212 | NY |
NPI | 1689010985 |
---|---|
Provider Name | Olisaemeka Oliver Akamnonu |
First Address | Bronx, NY 10467-2512 |
Second Address | Bronx, NY 10467-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 26/04/2018 |