NPI | 1467542233 |
---|---|
Former Name | JAMES ALLEN LAURINE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00024695) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 30138) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2015-06-04 |