| NPI | 1568865509 |
|---|---|
| Other Name | MARTIN VAN LEAR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN184337) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN184337) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2020-02-03 |