| NPI | 1255040051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 146L00000X Emergency Medical Technician, Paramedic | |
| 156F00000X Technician/Technologist | |
| 171000000X Military Health Care Provider (Licence: MI 228937373739) | |
| 163WE0003X Registered Nurse Emergency (Licence: MI 44352254678) | |
| 175M00000X Midwife, Lay | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-24 |