NPI | 1811940380 |
---|---|
Former Name | JOSE MARCELO LLERENA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K4488) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX K4488) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2021-08-25 |