| NPI | 1306509971 |
|---|---|
| Former Name | ROBERT MARK MAXILOM POLINTAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 860179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099927) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP024314) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01261800) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 349083) | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-10-31 |