NPI | 1861185712 |
---|---|
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 (Licence: IL 125.082812) |
Enumeration Date | 2023-05-29 |
Last Update Date | 2024-12-05 |