NPI | 1639642044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401223380) |
Additional Taxonomies | 101Y00000X Counselor |
156F00000X Technician/Technologist | |
Enumeration Date | 2019-01-08 |
Last Update Date | 2023-05-13 |