| NPI | 1174919500 |
|---|---|
| Other Name | JAY WATSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 067453) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 067453) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |