| NPI | 1083402796 |
|---|---|
| Other Name | JOHNNY LI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA INT51099) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |