NPI | 1275087686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX U1766) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2016-08-15 |
Last Update Date | 2024-03-04 |