NPI | 1205943263 |
---|---|
Other Name | JENSE BENJAMIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L2800) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX L2800) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2023-11-22 |