| NPI | 1023760980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN3218022) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-24 |