NPI | 1730071648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2025-07-16 |
Last Update Date | 2025-08-04 |