| NPI | 1710372032 |
|---|---|
| Other Name | JOSH THOMPSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.168877) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 64407) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-03-29 |