| NPI | 1104197276 |
|---|---|
| Other Name | JOE R HOLLEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV 4392) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 4392) |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |