| NPI | 1821431560 |
|---|---|
| Professional Name | MATTHEW DOUGLAS EVANS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 54817) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: AZ 54817) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-03-24 |