NPI | 1255867065 |
---|---|
Other Name | JIM BOSSMANN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD205178) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61038794) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-03-10 |