| NPI | 1174694699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174400000X Specialist | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-06-06 |