| NPI | 1851773204 |
|---|---|
| Former Name | JOSHUA SUHONEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73344-20) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.067582) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-06-23 |