NPI | 1689230070 |
---|---|
Other Name | AJ MICHAEL SCHOTTSTAEDT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X (Licence: WI 77842-20) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH z80299) |
Enumeration Date | 2019-05-12 |
Last Update Date | 2025-06-11 |