NPI | 1326285263 |
---|---|
Former Name | J. LOREN SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WV 0471) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2014-12-03 |