NPI | 1639517030 |
---|---|
Professional Name | SHOA LONG CLARKE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A149702) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255588) |
207R00000X Internal Medicine (Licence: CA A149702) | |
208000000X Pediatrics (Licence: CA A149702) | |
Enumeration Date | 2013-06-06 |
Last Update Date | 2024-04-20 |