| NPI | 1306692082 |
|---|---|
| Former Name | SAMUEL LAWRENCE RAINES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RAIN-UA4OLE) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |