| NPI | 1326793308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-OQFMLG) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2025-09-26 |