| NPI | 1265624811 |
|---|---|
| Professional Name | THOMAS JACOB CORSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CT 047701) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 047701) |
| 207P00000X Emergency Medicine (Licence: CO 48063) | |
| 208D00000X General Practice (Licence: CO 48063) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2024-07-29 |