| NPI | 1366778177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ZZ SDC-1208589) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: FL 012710311976-PCFL) |
| 101YP1600X Counselor Pastoral (Licence: GA LIC NO.10311976LPM) | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133NN1002X Nutritionist Nutrition, Education (Licence: FL NUT-012710311976FL) | |
| 133NN1002X Nutritionist Nutrition, Education (Licence: ZZ 10311976PNNT) | |
| 171100000X Acupuncturist (Licence: ZZ MFS1102210797) | |
| 174H00000X Health Educator (Licence: FL HE-04012016-103176) | |
| 174H00000X Health Educator (Licence: ZZ 750127-1076PHE) | |
| 175F00000X Naturopath (Licence: DC NAT#1000888) | |
| 175L00000X Homeopath (Licence: FL 0127-HOM-1031976FLA) | |
| 175L00000X Homeopath (Licence: GA LIC.10311976P-MD) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: ZZ D-1130-M1PK) | |
| 364S00000X Clinical Nurse Specialist (Licence: ZZ SDCL/MIIM/ISD1208588) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2020-04-14 |