| NPI | 1023179504 |
|---|---|
| Professional Name | CHARLES GREGORY MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC MD51916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 45652) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-06-11 |