| NPI | 1699136606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 146D00000X Personal Emergency Response Attendant (Licence: FL 05140251002) | |
| 171M00000X Case Manager/Care Coordinator | |
| 173000000X Legal Medicine | |
| 174H00000X Health Educator | |
| 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: FL AI473) | |
| 251J00000X Nursing Care | |
| 374J00000X Doula (Licence: CD318) | |
| 374U00000X Home Health Aide (Licence: FL HHA2910) | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2025-03-07 |