| NPI | 1932477981 |
|---|---|
| Other Name | NATE HATHAWAY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101250715) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101250715) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2022-12-23 |