NPI | 1164003216 |
---|---|
Other Name | ADAM JOHNATHAN WOOD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036171958) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.079343) |
Enumeration Date | 2021-04-20 |
Last Update Date | 2025-08-07 |