| 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 |