| NPI | 1063899284 |
|---|---|
| Former Name | CAMERON TYLER WARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2021-02266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-02266) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-02-14 |