| NPI | 1184396962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZB0600X Specialist/Technologist, Other, Biostatistician |
| Additional Taxonomies | 174H00000X Health Educator |
| 183700000X Pharmacy Technician (Licence: NY 000243-01) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-07-11 |