NPI | 1649350034 |
---|---|
Other Name | ANDY GIA LE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 36389) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 94404) |
207Q00000X Family Medicine (Licence: OK 23089) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2008-04-15 |