| 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 |