NPI | 1265475321 |
---|---|
Other Name | RANDALL LEE BELT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 1640) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 1640) |
207P00000X Emergency Medicine (Licence: WV 1756) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2021-07-07 |