| NPI | 1083490502 |
|---|---|
| Professional Name | DEQUAN' DR DEQUAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS KS04-64104) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS KS-ASCX12N) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-02-20 |