NPI | 1295571198 |
---|---|
Other Name | JAKE MALOUF |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0800X Registered Nurse, Orthopedic (Licence: AK 24505) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: AK 24505) |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-07-01 |