NPI | 1215653282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X (Licence: TN MD00000701000) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-10-12 |
Last Update Date | 2024-09-18 |