| NPI | 1922443829 |
|---|---|
| Other Name | JEREESH T JOHN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 276222-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-08-22 |