| NPI | 1457708364 |
|---|---|
| Former Name | JACOB LEW MORROW |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01083707A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2021-12-27 |