NPI | 1275606733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2006-11-15 |
Last Update Date | 2025-05-28 |