| NPI | 1629960950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171R00000X Interpreter |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2026-03-25 |