NPI | 1265481618 |
---|---|
Professional Name | GAMALIEL G MATTOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME92002) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME92002) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-10-01 |