NPI | 1790765915 |
---|---|
Other Name | ED TAYLOR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P9012) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME96266) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2020-09-02 |