| NPI | 1366901415 |
|---|---|
| Former Name | JAKE WALSH-ARTEAGA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A176607) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 90697) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-01-06 |