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 | 2024-09-10 |