NPI | 1336534122 |
---|---|
Former Name | PROMISE ANNANDIKE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 78444) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 78444) |
390200000X Student in an Organized Health Care Education/Training Program | |
207P00000X Emergency Medicine (Licence: AL MD.38435) | |
207Q00000X Family Medicine (Licence: GA 007739) | |
207Q00000X Family Medicine (Licence: GA 078444) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-01-26 |