| NPI | 1528680139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: IL 036175471) |
| Additional Taxonomies | 2085R0001X (Licence: IL 152.8680139) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2025-09-10 |