| NPI | 1578658043 |
|---|---|
| Other Name | LARRY BALENTINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60036029) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD 60036029) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-02-17 |