| NPI | 1699448597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 94708) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-02-21 |