NPI | 1396361820 |
---|---|
Other Name | JACK SPENCER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD.MD.70024756) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 8893) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2025-08-11 |