| NPI | 1396974069 |
|---|---|
| Former Name | EMMANUEL COOPER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD460340) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 57.012459) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2025-08-15 |