| NPI | 1285009514 |
|---|---|
| Former Name | CHRISTOPHER THADDEUS JONES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2021-08-06 |