| NPI | 1700983467 |
|---|---|
| Other Name | CHARLES SAMSON MUNN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NH 22222) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NH 22222) |
| 208D00000X General Practice (Licence: MA 44407) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 44407) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: NH 22222) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: MA 44407) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2022-10-04 |