| NPI | 1760168892 |
|---|---|
| Other Name | DAVID REYNOSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0106993) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT-227777) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2026-08-05 |