NPI | 1447858014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174H00000X Health Educator (Licence: LA OMC-LC102) |
Additional Taxonomies | 174H00000X Health Educator (Licence: LA OMC-LC107) |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-16 |