| NPI | 1598185936 |
|---|---|
| Former Name | KRZYSZTOF MICHALCZUK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14761) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2024-05-01 |