NPI | 1205497336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11023909A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6043032) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2024-07-28 |