| NPI | 1114076593 |
|---|---|
| Other Name | MARVIN N MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: KY 17782) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 17782) |
| 207Q00000X Family Medicine (Licence: IN 24668) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-05-08 |