NPI | 1295967354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA NA000120520) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RC00037875) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2009-08-21 |