| NPI | 1134351950 |
|---|---|
| Other Name | JON AVERY T GO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD 18347) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2015-10-26 |