NPI | 1508809625 |
---|---|
Professional Name | LEE C WHITAKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: VI 1625) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD000035229) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2012-05-09 |