NPI | 1134577406 |
---|---|
Former Name | JEREMY GLISSEN BROWN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2022-00635) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 308261) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2023-10-31 |