| NPI | 1164524823 |
|---|---|
| Other Name | JACK EDWARD GLODE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 4442A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 12361) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR-19261) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |