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 |