| NPI | 1194160580 |
|---|---|
| Professional Name | DAVID HUNTSMAN JACKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 3270) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |