| NPI | 1902290109 |
|---|---|
| Other Name | JONATHAN SHALOM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A151749) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D3911005) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-03-25 |