NPI | 1043905490 |
---|---|
Former Name | DANIEL J ZAMORA-JEREMIAH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-04-10 |