| NPI | 1225079825 |
|---|---|
| Other Name | J LARRY BLACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 8543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 11410) |
| 207P00000X Emergency Medicine (Licence: MS 8543) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-12-20 |