| 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 |