| NPI | 1881446250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-04-28 |