NPI | 1427200013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMBPIT#BP10032773) |
Enumeration Date | 2008-10-15 |
Last Update Date | 2008-10-15 |