NPI | 1114519873 |
---|---|
Other Name | BRENT M HALL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028349) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0028349) |
Enumeration Date | 2021-02-04 |
Last Update Date | 2024-10-31 |