NPI | 1033640537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A165460) |
Enumeration Date | 2017-03-26 |
Last Update Date | 2022-06-24 |