NPI | 1316914716 |
---|---|
Professional Name | WALT HOLLOW |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00015655) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA MD00015655) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2007-10-05 |