NPI | 1780713396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-03-02 |
Last Update Date | 2025-07-08 |