NPI | 1659481430 |
---|---|
Former Name | RODNEY COOK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CO DR.0052572) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0052572) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2022-07-21 |