| NPI | 1033476122 |
|---|---|
| Other Name | SAM ZHAO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD043289) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2015-08-11 |