NPI | 1407430457 |
---|---|
Other Name | KOFI ODURO-BOADU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS T-4311) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-06 |
Last Update Date | 2022-05-31 |