Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist |
NPI | 1104198167 |
---|---|
Provider Name | Robert Webb |
First Address | Plymouth Meeting, PA 19462-1047 |
Second Address | Plymouth Meeting, PA 19462-1047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2012 |
Last Update Date | 06/02/2012 |