| NPI | 1609162304 |
|---|---|
| Other Name | JEFFREY REBOUL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 305290) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014281) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-10-23 |