| NPI | 1912582206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247000000X Technician, Health Information |
| Additional Taxonomies | 1744R1103X Specialist, Research Data Abstracter/Coder |
| 246Y00000X Spec/Tech, Health Info | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-05-27 |