NPI | 1235822651 |
---|---|
Other Name | LEMUEL HACKSHAW |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 77484) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 33709) |
207P00000X Emergency Medicine (Licence: WI 85685-20) | |
Enumeration Date | 2023-05-31 |
Last Update Date | 2025-08-12 |