NPI | 1093164386 |
---|---|
Former Name | JAMES HOUSTON BECKWITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61316977) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A15781) |
207Q00000X Family Medicine (Licence: OR DO195314) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2025-08-28 |