NPI | 1871892562 |
---|---|
Former Name | CAMERON MURRAY BASS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD458542) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60224030) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2017-09-06 |