NPI | 1114312261 |
---|---|
Other Name | BEN PETROS YOSEPH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL 137448) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-04 |
Last Update Date | 2019-09-11 |