| NPI | 1316070881 |
|---|---|
| Former Name | JAMES GLENN SCHWEER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C53193) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 66866) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 55163) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-03-19 |