NPI | 1598059677 |
---|---|
Other Name | JACE TAYLOR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7357) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-06-06 |
Last Update Date | 2017-09-25 |