NPI | 1497246938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2001824) |
Additional Taxonomies | 101Y00000X Counselor |
101Y00000X Counselor (Licence: OH C.1801169) | |
Enumeration Date | 2018-05-21 |
Last Update Date | 2024-02-12 |