| NPI | 1083662654 |
|---|---|
| Former Name | SCOTT HAMLIN ALLEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX G3109) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME117244) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-12-29 |