NPI | 1164123816 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 229991) |
Enumeration Date | 2023-03-10 |
Last Update Date | 2024-09-20 |