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Individual
MARTIN BONIFACE GITOBU MUTONGA
Active
Individual
MARTIN BONIFACE GITOBU MUTONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
345108
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
345108
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2015
Last updated
02/18/2026
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