| NPI | 1629246327 |
|---|---|
| Former Name | GABRIEL EMMANUEL MENDY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: LA 06608R) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 06608R) |
| 207P00000X Emergency Medicine (Licence: LA 06608R) | |
| 208D00000X General Practice (Licence: LA 06608R) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2015-03-19 |