| NPI | 1295340412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-05-12 |