NPI | 1043269327 |
---|---|
Other Name | ROBERT BEN JOLLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101273347) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 62415) |
207P00000X Emergency Medicine (Licence: SC 12868) | |
207Q00000X Family Medicine (Licence: TN 62415) | |
207Q00000X Family Medicine (Licence: SC 12868) | |
207Q00000X Family Medicine (Licence: VA 0101273347) | |
207Q00000X Family Medicine (Licence: NC 306386) | |
Enumeration Date | 2006-05-06 |
Last Update Date | 2022-07-12 |