NPI | 1124385273 |
---|---|
Other Name | JOEY LOUIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NV 18892) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME126688) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2019-10-14 |