| NPI | 1639375140 |
|---|---|
| Professional Name | BENJAMIN WILLIAM LEACOCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148647) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0056078) |
| 207P00000X Emergency Medicine (Licence: IN 01081797A) | |
| 207P00000X Emergency Medicine (Licence: MO 2010003231) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141051) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-11-01 |