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 |