NPI | 1336815299 |
---|---|
Former Name | GIANCARLO VELEZ ALVARADO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-08-20 |
Last Update Date | 2024-03-26 |