NPI | 1578702122 |
---|---|
Other Name | JOEL R. COOPER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 005360) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 03195) |
207Q00000X Family Medicine (Licence: OH 009702) | |
Enumeration Date | 2009-02-05 |
Last Update Date | 2016-02-23 |