| NPI | 1770340127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-331044) |
| Additional Taxonomies | 246ZN0300X Specialist/Technologist, Other, Nephrology (Licence: FL 223487) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-12 |