| NPI | 1649026931 |
|---|---|
| Former Name | WILLIAM CHRISTOPHER BRYAN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL24-0558) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-06-04 |