NPI | 1275986903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 2470A2800X Technician, Health Information, Assistant Record Technician |
363A00000X Physician Assistant | |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-18 |