| NPI | 1750463170 |
|---|---|
| Other Name | JONATHAN D MCDIVITT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101242092) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-11-22 |