| NPI | 1366138562 |
|---|---|
| Former Name | CONNOR MACKENZIE SOLES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |