| NPI | 1396789830 |
|---|---|
| Other Name | FOSTER EASLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3212) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine (Licence: AZ 3212) |
| 207RA0401X Internal Medicine Addiction Medicine (Licence: AZ 3212) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: AZ 3212) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-01-08 |