| NPI | 1134534712 |
|---|---|
| Former Name | BRIAN OHARE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 123513) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 10716A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |