NPI | 1316654346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2022-10-31 |
Last Update Date | 2023-04-18 |