NPI | 1083177414 |
---|---|
Other Name | DANIEL OLEA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11456800) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-11 |
Last Update Date | 2022-11-17 |