| NPI | 1962640847 |
|---|---|
| Former Name | JASON W PUTHOTTILE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N2741) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2015-07-29 |