| NPI | 1033118666 |
|---|---|
| Other Name | JACK COOLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 253363) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0058669) |
| 207L00000X Anesthesiology (Licence: NJ 25MA08493900) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2015-01-05 |