| NPI | 1821091810 |
|---|---|
| Other Name | JIM L DELINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO MD 36425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 36425) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-11-13 |