Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 230399 | MA |
NPI | 1235202482 |
---|---|
Provider Name | Gethin Williams |
First Address | El Paso, TX 79902-2802 |
Second Address | El Paso, TX 79912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 07/01/2021 |