| NPI | 1740288430 |
|---|---|
| Former Name | JEFFREY WILLIAM VIGIL-SEWELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N7490) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CO 37468) |
| 208000000X Pediatrics (Licence: NM MD2007-0623) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-04-26 |