NPI | 1962962548 |
---|---|
Other Name | CHRISTOPHER STUMBO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY TP578) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TP578) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2022-02-14 |