NPI | 1043631906 |
---|---|
Other Name | CLAY WILKINS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: AL 22248) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 22248) |
Enumeration Date | 2013-12-19 |
Last Update Date | 2013-12-19 |