| NPI | 1396125332 |
|---|---|
| Former Name | JOSHUA EASON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 009477) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 04310) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-12-03 |