| NPI | 1861410730 |
|---|---|
| Other Name | CHET LELWYNN GREGORY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 202699) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 765-002T) |
| 207P00000X Emergency Medicine (Licence: LA 202699) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-12-03 |