| NPI | 1023711199 |
|---|---|
| Other Name | JAKE BAUSS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351055572) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-06-30 |