| NPI | 1255701520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171R00000X Interpreter |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |