NPI | 1588169312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 174400000X Specialist (Licence: CA A167044) |
Enumeration Date | 2018-03-25 |
Last Update Date | 2023-06-27 |