| NPI | 1750011219 |
|---|---|
| Former Name | CHUKWUEBUKA CALLISTUS EZIAMA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2026-06-04 |