NPI | 1427782267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 374U00000X Home Health Aide |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-07-15 |
Last Update Date | 2022-08-08 |