| NPI | 1740280072 |
|---|---|
| Other Name | JONATHAN KALE GAVIN SHUMATE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD154161) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.200122) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD00047503) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-10-29 |