NPI | 1932515384 |
---|---|
Other Name | WES COWAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 46744) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101259320) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2023-12-08 |