| NPI | 1922029479 |
|---|---|
| Former Name | DAVID E RYAN-GORMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 79029) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 7440) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-10-21 |