Canonical ID: us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7
· Entity type: Person
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
Person:address | (WV), (WV) | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:addressEntity | addr-0279f4bebdd6c92df3da3277ca6e33891758568d | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:country | us | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:firstName | Bertram | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:id | 459eb54cd8f329f33efc0dbffc3105ff1f158ad5 | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:idNumber | MD020168E | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:lastName | Russell | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:middleName | R. | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:name | Bertram R. Russell | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:npiCode | 1386664407 | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:title | MD | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 | ||||
Person:topics | debarment | us_pa_med_exclusions | us-medpa-04cabc02f1083d4c7a2d05f439ba5caaf9f580c7 |