| NPI | 1407098957 |
|---|---|
| Former Name | JASON DOUGLAS BRAZELTON-HUGHES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VT 042.0014078) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OR 175972) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2018-08-03 |