| NPI | 1881673648 |
|---|---|
| Former Name | JAN M HORNBUCKLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 16219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 13821) |
| 207R00000X Internal Medicine (Licence: TX L9234) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2011-06-02 |