NPI | 1053479204 |
---|---|
Other Name | TITILAYO O ADETU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 71617) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0046945) |
207P00000X Emergency Medicine (Licence: VA 0101054697) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2023-10-31 |