| NPI | 1457713117 |
|---|---|
| Other Name | NATE JOHN IRVINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101262985) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101262985) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-08-23 |