| NPI | 1790096444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 373H00000X Day Training/Habilitation Specialist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2025-09-03 |