| NPI | 1295113348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | N/A N/A N/A 111-222-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-05-09 |