| NPI | 1114661964 |
|---|---|
| Former Name | SHAUN MICHAEL PATEMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT225292) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-06-02 |