| NPI | 1114911823 |
|---|---|
| Other Name | SAM WESONGA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9300369) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 93-00369) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2021-04-14 |