| NPI | 1609512482 |
|---|---|
| Other Name | TOMMY FOSTER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 200-T1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-06-27 |