| NPI | 1093773160 |
|---|---|
| Other Name | J. DAVID PETERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00012819) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 12819) |
| 207P00000X Emergency Medicine (Licence: WA MD00012819) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-03-17 |