| NPI | 1194221358 |
|---|---|
| Former Name | JOSEPH BRANT FENNER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA R-12360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65834) |
| 207R00000X Internal Medicine (Licence: MN 29141) | |
| 208M00000X Hospitalist (Licence: MN 65834) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-07-16 |