| NPI | 1821627407 |
|---|---|
| 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 | 2020-04-05 |
| Last Update Date | 2022-04-01 |