NPI | 1558961227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174H00000X Health Educator (Licence: TX 1081) |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: TX 1081) |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |