| NPI | 1811327240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5127) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2020-04-02 |