| NPI | 1326381468 |
|---|---|
| Other Name | JACK HAGOP KELESHIAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-14904) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 25027) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-04-20 |