NPI | 1912120544 |
---|---|
Former Name | JAMES WILLIAM BROOK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 0-0363) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID O 0363) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2023-08-28 |