| NPI | 1316709884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2026-02-25 |