| NPI | 1396736971 |
|---|---|
| Other Name | ALBERT DEVON SAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: VA 0101268276) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 15157R) |
| 2086S0129X (Licence: CT 55673) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-11-27 |