| NPI | 1831798149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171R00000X Interpreter (Licence: WA MC55347) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2025-04-22 |