| NPI | 1972542652 |
|---|---|
| Other Name | BROOKS JACKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: IA MD-45147) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D50196) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 27655) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: IA MD-45147) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2026-01-20 |