NPI | 1801152756 |
---|---|
Former Name | ALEX MROSZCZYK-MCDONALD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-04-04 |
Last Update Date | 2023-02-09 |