NPI | 1396272340 |
---|---|
Professional Name | KOSTA MANIATAKIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9310132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9310132) |
Enumeration Date | 2017-05-20 |
Last Update Date | 2023-09-28 |