NPI | 1700266822 |
---|---|
Other Name | SCOTT HEBERT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 310042) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-06-03 |
Last Update Date | 2018-09-21 |