| NPI | 1336501022 |
|---|---|
| Former Name | BENNETT ZUKEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60927879) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-05-18 |