NPI | 1154945269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 2474) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NE 2474) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2023-07-07 |