NPI | 1740336080 |
---|---|
Former Name | JAMES KENNETH SEFFINGA-CLARK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 24426) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 34260) |
Enumeration Date | 2007-01-27 |
Last Update Date | 2025-03-04 |