NPI | 1639638125 |
---|---|
Professional Name | DESTE D BAPTISTE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78902) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 53-78902-081) |
207Q00000X Family Medicine (Licence: MO 2019032025) | |
Enumeration Date | 2019-03-14 |
Last Update Date | 2024-03-01 |