| NPI | 1215359252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 173000000X Legal Medicine | |
| 174V00000X Clinical Ethicist | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |