| NPI | 1851896617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: 127) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: 1411) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |