| NPI | 1922430214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX S0200) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 75739) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX S0200) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2024-05-08 |