| 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 |