NPI | 1174746259 |
---|---|
Other Name | ALEX MARTIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G24871) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G24087) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2013-12-30 |