Canonical ID: us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_mo_med_exclusions | us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4 | |||
LegalEntity:description | License number: R8E93 | eng | us_mo_med_exclusions | us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4 | |||
LegalEntity:id | d79bef2e70059e045d55f5156aa6f429167513c0 | eng | us_mo_med_exclusions | us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4 | |||
LegalEntity:name | GOLDSTEIN, HOWARD RAY | eng | us_mo_med_exclusions | us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4 | |||
LegalEntity:npiCode | 1790747251 | eng | us_mo_med_exclusions | us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4 | |||
LegalEntity:sector | 20-PHYSICIAN | eng | us_mo_med_exclusions | us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4 | |||
LegalEntity:topics | debarment | eng | us_mo_med_exclusions | us-medmo-8904beda4b074139d5f868f27d3332ee35b057a4 |