NPI | 1962909655 |
---|---|
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: NC 238544) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2020-06-25 |