NPI | 1215192828 |
---|---|
Former Name | OLUSESAN OGUNTUGA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1204) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT192792) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2024-01-24 |