| NPI | 1225249220 |
|---|---|
| Other Name | BRECK THRASH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX N4801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX AB22108774317) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-08-08 |