NPI | 1407629629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT BBH-ACLC-LIC-64561) |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-10-31 |