| NPI | 1093555021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 171R00000X Interpreter | |
| 1744R1102X Specialist, Research Study | |
| 174V00000X Clinical Ethicist | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-11-06 |