| NPI | 1508206319 |
|---|---|
| Professional Name | MITHUN DANIEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 075104) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-10-15 |