| NPI | 1477714137 |
|---|---|
| Other Name | JOVAN RAGO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 42140) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R70138) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2019-12-03 |