NPI | 1225657513 |
---|---|
Other Name | JACK POLLACK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0100875) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A181533) |
Enumeration Date | 2020-04-16 |
Last Update Date | 2024-10-14 |