| NPI | 1881365328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744R1102X Specialist, Research Study |
| Additional Taxonomies | 1744R1103X Specialist, Research Data Abstracter/Coder |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-12-05 |