NPI | 1245810712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 372600000X Adult Companion |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-04-09 |