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 |