NPI | 1518272293 |
---|---|
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: CA NOT APPLICABLE) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2010-08-18 |