NPI | 1164962312 |
---|---|
Other Name | ANGELO WILLIAMS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61366754) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-06 |
Last Update Date | 2023-02-21 |