| NPI | 1114504313 |
|---|---|
| Other Name | JACOB ABBUHL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 332135) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64407) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-09-11 |