NPI | 1831879279 |
---|---|
Other Name | ALEC VAN DETTA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-07-20 |
Last Update Date | 2025-04-07 |