NPI | 1174042212 |
---|---|
Professional Name | KING DAVID MUNGIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3379032) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3379032) |
Enumeration Date | 2017-09-10 |
Last Update Date | 2024-05-01 |