NPI | 1679040653 |
---|---|
Other Name | BANKY OLOWO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138022) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX AP138022) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2023-11-03 |