NPI | 1598327025 |
---|---|
Professional Name | DAN SHTUTMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 008728) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R3299) |
Enumeration Date | 2019-07-04 |
Last Update Date | 2021-05-07 |