NPI | 1699188490 |
---|---|
Other Name | BRENT THOMAS WATKINS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 53883) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R74381) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2020-07-30 |