| NPI | 1841819257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0001X (Licence: IN 01095825A) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-10-16 |