Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | AL 286 | OH |
NPI | 1932136504 |
---|---|
Provider Name | Mr. Brian E Hooker |
First Address | New Port Richey, FL 34652-2860 |
Second Address | New Port Richey, FL 34652-2860 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |