| NPI | 1609187517 |
|---|---|
| Professional Name | CHARLES E JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME110710) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101250181) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2025-04-23 |