NPI | 1518336056 |
---|---|
Former Name | ROBERT MICHAEL COOPER-LABOY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138562) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013278) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2018-10-21 |