| NPI | 1366438848 |
|---|---|
| Other Name | FREDERICK A HUMPHREY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34002561H) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 671) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2015-01-15 |