| NPI | 1679193445 |
|---|---|
| Professional Name | PONCELET MICHEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ NJDCATEMP000848) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ NJDCATEMP000856) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: PR 483-P.A.) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |