| NPI | 1164163119 |
|---|---|
| Other Name | JAKE CLAYTON ROBERTSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX BP10082771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID 207R00000X) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-04-27 |