| NPI | 1245817857 |
|---|---|
| Former Name | CAIN WILLIAM JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2021-03-28 |