NPI | 1780175257 |
---|---|
Former Name | IAN JAMES BILBO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-12587) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-05-21 |
Last Update Date | 2021-07-09 |