NPI | 1770107989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: HI 22077) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-01-03 |