NPI | 1619298247 |
---|---|
Other Name | TUCKER LEIGH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S8458) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TX S8458) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2023-06-14 |