| NPI | 1720656994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-03-23 |