NPI | 1467834671 |
---|---|
Other Name | NICK RAY COLLINS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 04304) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R3740) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R3740) | |
Enumeration Date | 2015-06-24 |
Last Update Date | 2019-06-10 |