| NPI | 1740273630 |
|---|---|
| Other Name | PAUL SHATTUCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 25430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 25430-020) |
| 208600000X Surgery (Licence: WI 25430-020) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2023-07-26 |