| NPI | 1043285463 |
|---|---|
| Professional Name | S. EDWARDS DISMUKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-23530) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KS 04-23530) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2012-03-08 |