NPI | 1477127991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2021020967) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2021-07-27 |