NPI | 1912389461 |
---|---|
Former Name | DANA KOENIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101025443) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021941) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2020-06-10 |