| NPI | 1447412374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 2019-00952) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101246577) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101246577) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2020-04-22 |