LEONARD DALAG

MANTECA, CA
NPI1689043291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: CA  A171850)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  125.067931)
Enumeration Date2015-09-24
Last Update Date2022-10-12