| NPI | 1437342060 |
|---|---|
| Other Name | JACK BOTTORFF |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-16745) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-6686) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2016-01-22 |