| NPI | 1407256076 |
|---|---|
| Other Name | MARTIN BAYODE SULE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127560) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R183795) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2016-03-25 |