NPI | 1205012309 |
---|---|
Former Name | ALEXIS LINGVERE GORDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0068388) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0068388) |
207R00000X Internal Medicine (Licence: NY 246644) | |
207R00000X Internal Medicine (Licence: MD 068388) | |
Enumeration Date | 2008-01-18 |
Last Update Date | 2021-06-22 |