| NPI | 1992763411 |
|---|---|
| Other Name | T STEVEN IVAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-50713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 4082) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-04-10 |