| NPI | 1316680614 |
|---|---|
| Former Name | ANTHONY MARTIN RUMANANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A197856) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2025-04-21 |