| NPI | 1760325344 |
|---|---|
| Former Name | JAY GENICHIRO FUJIOKA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2026-04-10 |
| Last Update Date | 2026-04-10 |