NPI | 1699795815 |
---|---|
Other Name | LEE MONTGOMERY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.202410) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 16277) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2023-03-07 |