NPI | 1801995980 |
---|---|
Other Name | ED GALAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: KS 45557) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2000170215) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2015-05-22 |