| NPI | 1013282375 |
|---|---|
| Former Name | BRANDON SHAUN ALLPORT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7644) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7644) |
| 208M00000X Hospitalist (Licence: MD D81065) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-05-17 |