| NPI | 1316965239 |
|---|---|
| Former Name | PARKPOOM ROOTJANAPUNT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA g146841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 39334) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-12-01 |