| NPI | 1255867065 |
|---|---|
| Other Name | JIM BOSSMANN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61038794) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 667717) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-05-27 |