| NPI | 1669713640 |
|---|---|
| Former Name | TEMITOPE ADEDOLAPO FASUSI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2023-03-28 |