| NPI | 1477307551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1744R1102X Specialist Research Study |
| 246QM0706X Specialist/Technologist, Pathology Medical Technologist | |
| 246W00000X Technician, Cardiology | |
| 261QR1100X Clinic/Center Research | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-05-08 |