| NPI | 1699237370 |
|---|---|
| Former Name | DANIEL ROBERT WELLS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0068907) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007503) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-09-20 |