NPI | 1407834161 |
---|---|
Professional Name | S. JOHN SUSS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 054679) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD-033938-E) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2022-04-13 |