| NPI | 1043960446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: GA 17617) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-06-25 |