NPI | 1205624558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2024034280) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL HSE38841) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R80591) | |
Enumeration Date | 2025-04-28 |
Last Update Date | 2025-04-28 |