NPI | 1417925199 |
---|---|
Other Name | JERMAINE FOSTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR PG206894) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103025) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2022-03-01 |