NPI | 1538514229 |
---|---|
Other Name | ZACH D NANKEE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036162854) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PTL1808) |
Enumeration Date | 2016-04-29 |
Last Update Date | 2022-11-15 |