NPI | 1508446170 |
---|---|
Former Name | JOSHUA TONNESLAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD213878) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD213878) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2024-07-30 |