NPI | 1982232773 |
---|---|
Other Name | BRADLEY N COTRINA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0116034548) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-03-29 |
Last Update Date | 2023-11-22 |