| NPI | 1508753849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2026-06-10 |