NPI | 1043261399 |
---|---|
Former Name | ALLEN C. ANDERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 38156-020) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 38156-020) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2024-04-18 |