NPI | 1477395069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-14 |