NPI | 1295301323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP05357) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI CLP05357) |
Enumeration Date | 2021-05-30 |
Last Update Date | 2021-06-22 |