Type 1 individualNPI 1003625955
MR. BONIFACE MBAKA
163WH0200X · SAN ANTONIO, TX
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 163WH0200X | 163WH0200X | Primary |
| 374U00000X | 374U00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s