NPI | 1609924919 |
---|---|
Other Name | MARC PITTMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 014891) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 014891) |
208D00000X General Practice (Licence: LA 014891) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2021-07-22 |