NPI | 1003866104 |
---|---|
Professional Name | G ALLEN CRIST |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-071169) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 03204) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2015-06-26 |