NPI | 1134362676 |
---|---|
Former Name | SANTHOSH ZAFAR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q3221) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-04-14 |
Last Update Date | 2015-10-09 |