NPI | 1114618022 |
---|---|
Former Name | MASON MICHEL LAMARCHE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA R-12748) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-12748) |
Enumeration Date | 2023-05-19 |
Last Update Date | 2023-05-19 |