| NPI | 1649430208 |
|---|---|
| Other Name | REGINA MARIE KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MA 246556) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 246556) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2017-02-13 |