| NPI | 1780175257 |
|---|---|
| Former Name | IAN JAMES BILBO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T6403) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-12587) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-10-08 |