NPI | 1083906028 |
---|---|
Other Name | JIM OTI OMATSEYE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 109386) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 258593) |
Enumeration Date | 2011-05-10 |
Last Update Date | 2022-09-29 |