NPI | 1902284714 |
---|---|
Former Name | MARK ANTHONY DUBIE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO187161) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG172016) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2020-11-10 |