NPI | 1871231290 |
---|---|
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: MO 2025016632) |
Enumeration Date | 2022-05-25 |
Last Update Date | 2025-06-24 |