NPI | 1295430916 |
---|---|
Other Name | MITCH KUNZEMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023019679) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-05-27 |