NPI | 1417659137 |
---|---|
Former Name | ALLEN RUAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA Pending) |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-03-17 |