NPI | 1689907206 |
---|---|
Other Name | NIC T BRANSCOMB |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018979) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2210) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2010-12-10 |