| NPI | 1356031009 | 
|---|---|
| Other Name | SOLOMON ISAAC ROBECK | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 175T00000X Peer Specialist | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2023-05-08 | 
| Last Update Date | 2024-01-24 |