| NPI | 1598474652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: IN 201371060-A) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IN 201371060-A) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-30 |