NPI | 1306339643 |
---|---|
Former Name | JARED ALLEN COLLINS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 22665) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 22665) |
207RG0300X Internal Medicine Geriatric Medicine (Licence: WI 22665) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2022-11-16 |