| NPI | 1336554740 | 
|---|---|
| Other Name | GEOFF DE GENNARO | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-15099)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301105483)  | 
| Enumeration Date | 2014-06-24 | 
| Last Update Date | 2020-07-23 |