NPI | 1144717802 |
---|---|
Former Name | JACOB PATRICK RIMINGTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 11414322-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MSM-0499) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2019-09-12 |